— 照護管理 · EASY · MCQ —
護理長正在規劃病房的工作分配，下列哪位病人最適合交給經驗豐富的註冊護理師（RN）照顧？
A charge nurse is planning assignments for the unit. Which client is most appropriate to assign to an experienced registered nurse (RN)?
- AA client newly admitted with suspected sepsis and unstable hemodynamics✓ 正解一位新入院且懷疑患有敗血症並伴有血流動力學不穩定的病人
- BA client scheduled for discharge teaching regarding insulin administration一位預定接受胰島素給藥衛教的病人
- CA client requiring routine dressing changes for a pressure ulcer一位需要為壓瘡進行常規換藥的病人
- DA client with a stable hip fracture waiting for physical therapy一位髖骨骨折穩定且等待物理治療的病人
— Explanation · 中文詳解 —
護理分配原則依照病人的複雜度與穩定度。敗血症且血流動力學不穩定的病人具有高度風險，可能隨時惡化，需要具備高度批判性思考與快速反應能力的資深護理師照顧。其餘選項皆為穩定、可預測的常規照護，適合一般 RN 或適當授權。
Assigning the client with suspected sepsis and unstable hemodynamics to an experienced RN is appropriate because this condition requires complex assessment and rapid clinical intervention. Other options involve stable, predictable care that can be managed by general RNs or delegated appropriately.
✦ 台美臨床差異
美台對病房分級與護病比配置邏輯相似，但美國更強調『病患急性度（Acuity）』作為分配標準，而非僅依年資。